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Home My WebLink AboutMiscellaneous - 509 FOSTER STREET 4/30/2018 509 FOSTER STREET 210/104.000.0 I I i, The Commonwealth of Massachusetts "`" u`a Only .00 _ Per.lt .b. Department of Public Safety Occupancy&Fee Qucked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 3/90 (leave stank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Massachusetts Electrical Code. $27 CMR 12:00 �y (PLEASE-PRINT IN INK OR TYPE ALL INFORHAYION) Date City or Town ofy Akjt(-H A`P-oVC--k To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. ;. . Location (Street & Number) 0 9 F 0 JL 5 J�7Z s T 4 Owner or Tenant_ Owner's Address_ 5-09 roil S r6--L NU 4,4u Do tJ N— 0 1 �,t/S Is this permit in conjunction with a building permit: Yes M-I�No ❑ (Check Appropriate Box) Purpose of Building P bi E-L C fav V Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters New Service Amps J Volts Overhead ❑ Undgrd❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers _. Total N RVA No. of Lighting Fixtures Above In— No. Swimming Pool gtnd. ❑ grnd. ❑ Generators INA �. No. of Receptacle Outlets No. of Oil Burners No. of Emergency LightingBattery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones' ' No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No. of pumps Total Total Tons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local❑ Municipal ❑Other Connection No. of Water Heaters KW No, of No. of Low Voltage Si ns Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES❑ NO [] I have submitted valid proof of same to this office. YES❑ •• NO 0. If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE OND ❑ OTHER ❑ (Please Specify)_ xp1HEi-on ate '-Estimated Value of Electrical Work $ Work to Start_ Inspection Date Requested: Rough Final ` Signed under the penalties of perjury: ' FIRM NAME �}M 0/L E L�G r!Z (C /�! C LIC. NO. Licensee_ q lJ't 140 ally ja M 0(L C Signature LIC. NO. /S 3 7 S Address_ ayco 99 l),Aj t k)4VpZ141tC iigr40/$3eus. Tel. No. 9 r-37;-5-977 Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage'or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE d 1 Signature of Owner or Agent --� C (Z � s Location 'YoNo. —0/6 0/ Date z7 A� 01 pORTh TOWN OF NORTH ANDOVER O? • 1 • O� n Certificate of Occupancy $ 49 Building/Frame Permit Fee $ • �SSACMUSEt� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ M TOTAL $ Building Inspector rc+w TI a Div. Public Works PERliPP NO. y APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER MASS. PAGE 1 MAP 4-40. �)-1 LOT NO. 4 2 RECORD OF OWNERSHIP (DATE (BOOK ;PAGE ZONE 91 I SUB DIV. LOT NO. — I LOCATION �-pq fQ Tt�N �� [BASEMENT URPOSE OF BUILDING 11 i � (i'A C/m C Al r OWNER'S NAME „nn` �µr Li C- C r O. OF 'TOR.' SIZE OWNER'S ADDRESS 5/� �C�S T� f" �� OR SLAB SF/h7 G hf ARCHITECT'S NAME C�� .�(G �U�L�}C �� S SIZE OF FLOOR TIMBERS IST IND 3RD 10 /,� BUILDERS NAME L IJ,n7 (v� �v f � Q�, � � SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES - SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION � THICKNESS IS BUILDING NEW iyG SIZE OF FOOTING X IS BUILDING ADDITION ja MATERIAL OF CHIMNEY IS BUILDING ALTERATION Y S IS BUILDING ON SOLID OR FILLED LAND Yrs WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ya L+ IS BUILDING CONNECTED TO TOWN WATER �Y U BOARD OF APPEALS ACTION. IF ANY No J IS BUILDING CONNECTED TO TOWN SEWER m V IS BUILDING CONNECTED TO NATURAL GAS LINE Q INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST p PAGE I FILL OUT SECTIONS i - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 - EST. BLDG. COST PER ROOM ELECTRIC METEP6 MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR i DATE FILED '� _ ._ll L SU1LDIN 1I191iCTOR SIGNATURE OF OWNER OR AUTHOIKZED AGENT ^, ' MT � F E E �� OWNER TEL/ 77�7�� PERMIT GRANTED CONTR.TEL 1 6,�? ag 9�1g Z i!P _ CONTR.UC.1 0 H.I.C.1 L Ear roc. Nr-Ar 0 % N4 09PS a l� - - --� - -- IL x � o �t r � -i 9/V 5(ldas -Seolw i�idap-r.(31E�M 3p o lw Am i s R�Str:cteu To: A �* ' = D$ ARTNE$T OF PUBLIC S?,IETy 355P CONSTRUCTION SUPERVISOR i:CE`�SS !i,::c tIuxbPr i• �$ �'� Q��6��. 01�2.3�i�r'� ..�__ G4� .� — . 1 ' ':,._..j' .,_..'_5 "y*`ay _ . � °s �S _ ReStTc�ed To: 86 �_.__. .. c'.._ ' t�:*ios of the �r7RROBERT K DAIGLw , �4` e rc,. a.. d,", o: ,.`... ?iullso.. *. -58 WATER ST [, ' ._ a • � SONE INpRDVEMENT CONTRAC 0W is t* ,10 734 R@$ . PRI PORAT QN 07/20/98 r9° ATIy BUILDERS; 14C♦ tRE , s Daigle Robert K. 8 i Water Sttee tC C ,1p �ti C10RT own of __ over No. /G * - - �� * �o dower, Mass., '9 ICME ,CO CMICK .9S -47 fG BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT....................................�� .:................ ............................................. BUILDING INSPECTOR Foundation has permissiontoes#.-. buildings on .......SV 9...........i.....O. S.Tlei2..........ay. . Ro gh to be occupied as..............................................1Ci., �Sft .........5:r0—RA.QZ..... �r�..4.., e.;; Chimney thprovided that the person accepting this permit shall in eve respect conform to the terms of thea lidtion on file in is office, and to he provisions of the odes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STAR Rough ............................. ....... .. Service .... ..... .. . . .. ..... ..... ...... UILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. ,. Nor 'i ,.,, L Date... O� MO DTM 1ti 3? ,.t;�``..-.•�.`0- TOWN OF NORTH ANDOVER PERMIT FOR WIRING ACMUS� This certifies that ...:.... .................................................................... ............... has permission to perform ..... ..G "' �J wiring in the building of...16C'e Fu ..................................................................... at.. ol... ...........r .... ,North Andover,Mass.. .. Lic.No. -1.375 Fee... ........... ............... .......... ........................... .. . ...... ..... / ELECTRICAL INSPECTOR 01/28/98 08:51 40.W aaln WHITE:Applicant CANARY: Building Dept. PINK:Treasurer